Referral Coordinator - FT - Day Shift

Description

Job Summary

Responsible for the process of outgoing patient referrals and obtaining information back to the clinic as a result of that referral process. This process includes collecting and sending all the necessary documentation, communication directly with the referral office and to the patient, as well as contacting the referring provider if needed. This position will also be responsible for the completion of the required documentation of this process.

Duties and Responsibilities

• Maintains process for identifying and prioritizing referral orders from clinic providers.
• Reviews documentation from ordering physician to meet the needs of the referral.
• Verifies demographic information is correct prior to referral.
• Works with patient and the outside provider offices to arrange the referral for services as ordered by the referring physician.
• Communicates with departments as needed to keep them updated.
• Communicates with clinic staff to request additional documentation as needed.
• Utilizes EHR to document referral and to gather notes pertaining to referral.
• Assists with troubleshooting any problems with referrals to resolve any issues.
• Helps to maintain the clinic database with up to date demographic information on surrounding medical services and medical providers.
• Actively engage in quality improvement activities.

Requirements

Minimum Requirements

• High school diploma or equivalent.
• Operating knowledge of personal computers and MS Windows applications (including Word, Excel and Outlook)
• Proven customer service skills.

Preferred Requirements

• Prior experience with patient scheduling or working in a medical environment
• Previous medical records handling, billing, Medicare and private pay experience
• Knowledge of CPT, HCPCS and some knowledge of ICD-10 codes
• Familiarity with Medical Terminology

Skills/Competencies

• Able to work in a high volume/fast-paced environment.
• Ability to work with sensitive and confidential information.
• Must possess superb communication skills.
• Must be able to interact with patients, insurers and ordering physicians and their staff in a responsible, professional and ethical manner.
• Must be able to function effectively in a team-oriented environment.
• Must be self-motivated and able to work independently with limited direction.
• Must be reliable and demonstrate sound judgment and initiative.
• Possess a high degree of accuracy in work output.

Physical Requirements

Perceive the nature of sounds by the ear, express or exchange ideas by means of spoken word, perceive characteristics of objects through the eyes, extend arms and hands in any direction, seize, hold, grasp, turn, or otherwise work with hands, pick, pinch, or otherwise work with fingers, perceive such attributes of objects or materials as size, shape, temperature, or texture; and stoop, kneel crouch, and crawl. Must be able to lift 25 pounds maximum with frequent lifting, carrying pushing, and pulling of objects weighing up to 10 pounds. Continuous sitting, walking and standing. Must be able to identify, match, and distinguish colors.